American Cytopathology Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05800732 Issued in WV

Legal business name

AMERICAN CYTOPATHOLOGY SERVICES

Practice address

1301 Dunbar Avenue
Dunbar, WV 25064-2920

Phone

(304) 720-9791

Fax

(304) 720-9794

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jodie B Douglas

Title

Office Manager Billing Manager

Phone

(304) 720-7870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013096171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 DUNBAR AVENUE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-720-9791",
            "fax_number": "304-720-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 DUNBAR AVENUE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642920",
            "telephone_number": "304-720-9791",
            "fax_number": "304-720-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CYTOPATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER BILLING MANAGER",
        "authorized_official_telephone_number": "304-720-7870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "05800732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000017",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Agoe
• Eulalio Albis, PHYSICAL THERAPIST
• Carlotta Alderman
• Karen Allen
• Amedisys West Virginia, L.L.C
• Kiara Anderson
• Brenda Armstead
• April Bady
• Betty Bailey
• Lisa Bailey

• Clinical Medical Laboratory in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.